MANAGING CHRONIC SUBDURAL HEMATOMA IN JORDAN: INSIGHTS FROM A POPULATION-BASED STUDY

Background: Chronic subdural hematoma (CSDH) is a neurological condition characterized by the gradual accumulation of blood and uid within the subdural space. It predominantly affects the elderly. With the global population aged 65 years and older anticipated to double between 2000 and 2030, the incidence of CSDH is expected to rise substantially, posing a signicant healthcare challenge. In Jordan, similar demographic trends necessitate a comprehensive understanding of CSDH to inform clinical practices. This study ai Objective: ms to provide epidemiological data on CSDH in Jordan, assess the applicability of existing surgical management guidelines to the Jordanian population, highlight the importance of brain imaging evaluations in managing this condition, and identify potential risk factors in affected patients. A retrospective analysis Methods: was conducted on medical records from January 2021 to December 2023 at King Hussein Medical Center (KHMC). Data from 191 consecutive adult patients treated for CSDH were collected, including demographic parameters, past medical history, presenting symptoms, use of anticoagulant and antiplatelet medications, and imaging ndings at admission. The outcome was assessed during outpatient visits approximately six months post-treatment. Recurrence rates, timing of recurrence, complications, and clinical parameters contributing to poor outcomes were also evaluated. The study population comprised 146 males and 45 females, with a male-to-female ratio of 3 Results: .24:1. The age distribution ranged from 25 to 94 years, with a median age of 69.52 ± 14.34 years. No signicant differences were found between male and female groups regarding mean age, sides affected, body mass index (BMI), mean follow-up duration, or smoking history. The mean symptom duration prior to surgery was 4.6 ± 2.82 months, and the average postoperative follow-up period was 9.32 ± 3.12 months. Postoperative complications, such as recurrence observed in 16.75% of cases while tension pneumocephalus was revealed in 5.76% of cases. Chronic sub Conclusion: dural hematoma predominantly affects the elderly population, with a higher prevalence in males. The ndings underscore the importance of timely diagnosis and management to improve patient outcomes. Further research is needed to establish standardized treatment protocols and to explore factors contributing to recurrence and poor functional outcomes.